NPIMap

Organization Active NPI

Pov LLC

  • Optometrist
  • Glen Mills, PA
National Provider Identifier
1356990790
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
POV LLC
Practice address
736 Baltimore Pike Ste 8
Glen Mills, PA 19342-1074
Phone
(610) 459-0404
Fax
(610) 459-0405
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall Bumsted, O.D.NPI 1598745689
Title
Managing Member
Phone
(610) 459-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

736 Baltimore Pike Ste 8
Glen Mills, PA 19342-1074

Mailing address

736 Baltimore Pike Ste 8
Glen Mills, PA 19342-1074
Phone (610) 459-0404

Other identifiers 1

IdentifierTypeStateIssuer
4585515OtherPAAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://pointofvieweyecare.eyefinityehr.com/ema/Login.action Direct

National Provider Directory

National Provider Directory

Locations

736 Baltimore Pike
Ste 8
Glen Mills, PA 19342
Phone (610) 459-0404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1356990790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE STE 8",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421074",
            "telephone_number": "610-459-0404",
            "fax_number": "610-459-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE STE 8",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421074",
            "telephone_number": "610-459-0404",
            "fax_number": "610-459-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "BUMSTED",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "610-459-0404",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4585515",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pointofvieweyecare.eyefinityehr.com/ema/Login.action",
            "affiliation": "N",
            "endpointDescription": "we use Eyefinity EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "736 Baltimore Pike Ste 8",
            "city": "Glen Mills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193421074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.